Jennifer Charlene Cruz-Rusielewicz

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

010400 Issued in NY

Practice address

2800 Marcus Ave Ste 110
New Hyde Park, NY 11042-1113

Phone

(516) 622-7485

Fax

(516) 622-6046

NPI assigned

Jan 28, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Shore Medical Healthcare PCGroup PAC ID 3173016300, 3 clinicians

Mwe Medical PCGroup PAC ID 5991220048, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bay Shore Medical Healthcare PC

  • General Practice Physician
  • Bay Shore, NY
  • NPI 1730946948
  Medicare reassignment Care Compare group NPD
• Mwe Medical PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Massapequa, NY
  • NPI 1730983008
  Medicare reassignment Care Compare group
• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment
• North Shore - Lij Medical PC

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1790043479
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1922639087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MARCUS AVE STE 110",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421113",
            "telephone_number": "516-622-7485",
            "fax_number": "516-622-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MARCUS AVE STE 110",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421113",
            "telephone_number": "516-622-7485",
            "fax_number": "516-622-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-RUSIELEWICZ",
        "first_name": "JENNIFER",
        "middle_name": "CHARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "010400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Critical Care Nursing Agency, LLC
• Mary Cronin
• Marcel Crooks
• Justine Crotty, NP
• Catherine Crowley
• Juan Manuel Cruz
• Kenneth Crystal, MD
• Rachel Cubilla
• Hong Cui
• Natalie Li Cullen

• Vascular & Interventional Radiology Physician in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Vascular & Interventional Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.